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We strongly support House Democratic
Leadership’s effort to extend the Affordable Care Act’s (ACA) enhanced premium
tax credits for three years — but ultimately wish to make them permanent.
These credits have allowed more than 20 million Americans to maintain health
insurance they could not otherwise afford. But with the credits set to expire
on December 31, and open enrollment for 2026 already underway, Congress has
only days left to prevent devastating premium spikes and widespread coverage
loss.
House Democratic Leader Hakeem Jeffries and Democratic Whip Katherine Clark
have made extending these enhanced tax credits a centerpiece of their efforts
to protect working families. On November 11, 2025, they introduced a
three-year extension as an amendment to the short-term spending bill needed to
reopen the government. Their proposal would have provided stability through
2028 and protected millions of Americans from the most significant increase in
health insurance costs in more than a decade. However, the
Republican-controlled House Rules Committee rejected the Jeffries-Clark
amendment that same day, blocking it from reaching the House floor and
removing the ACA provision from the underlying bill.
Even after this setback, House Democrats made clear that the fight is far from
over. Leader Jeffries announced that Democrats would press ahead with every
available tool — including a discharge petition — to force a vote and protect
the American people from catastrophic cost increases. This determination
reflects a core Democratic principle: health care is a right, not a privilege.
Open enrollment for 2026 coverage began on November 1, and insurers have
already priced their offerings based on the assumption that the enhanced
credits will expire unless Congress acts. If lawmakers fail to extend the
credits, nearly five million people could lose their coverage entirely, while
millions more will face dramatically higher premiums. Analyses predict average
increases exceeding 75 percent, with annual costs for a typical enrollee
jumping from about $900 to nearly $1,900. Even now, with the enhanced credits
in place, health insurance remains costly; the credits do not make coverage
cheap, but they make it possible for many who could not afford it otherwise.
Without them, the individual market will become unaffordable almost overnight.
While the bipartisan
Fix It Act — introduced on November 10 — offers a two-year extension as a
fallback option, it does not provide the long-term certainty that American
families need. House Democratic Leadership is right to push for a stronger
extension that offers stability through 2028 and keeps the focus where it
belongs: on preventing widespread coverage loss and protecting Americans from
soaring health care costs. Still, the proper solution is to make these tax
credits permanent so that lower-income American families have some assurance
that their healthcare plans will not be priced out of their reach.
In addition, a new bipartisan effort has emerged that highlights growing
cross-party concern over this looming coverage crisis. On November 21, 2025,
Representatives Tom Suozzi (D-NY), Don Bacon (R-NE), Jeff Hurd (R-CO), and
Josh Gottheimer (D-NJ) introduced the Bipartisan
HOPE Act. The bill would extend the enhanced premium tax credits for two
years, add new income caps, and include fraud-prevention and
marketplace-integrity guardrails — a compromise aimed at averting dramatic
premium increases while broader reform debates continue.
The reopening of the government may have resolved one crisis, but the real
test of congressional leadership lies ahead. With only days remaining before
the enhanced tax credits expire, the responsibility now falls squarely on
Congress to protect millions from unaffordable premiums and sudden coverage
loss. House Democrats have already put forward a clear, comprehensive solution
— and they are prepared to keep fighting until families get the relief they
need. What happens next will determine whether Americans enter the new year
with stability and security, or with higher costs and fewer options. Congress
must act immediately to prevent avoidable harm and ensure that affordable
health care remains attainable for everyone.
Our Related Links:
America's State of Emergency - An Agenda For Action
Hakeem Jeffries Related Links:
Leader Jeffries on CNN: "House Democrats have introduced legislation to extend the ACA tax credits for three years." (Hakeem Jeffries, 11-14-25)
Leader Jeffries: "Affordable Care Act tax credits expire next month and Republicans are out of excuses." (Hakeem Jeffries, 11-17-25)
Leader Jeffries on House Floor: "We'll fight until we win this battle for the American people." (Hakeem Jeffries, 11-12-25)
Jeffries, Democrats will offer 3-year extension of ObamaCare subsidies (The Hill, 11-11-25)
Fix It Act Related Links:
Bipartisan Bill to Protect Affordable Care Act Tax Credits Introduced (Kevin Kiley, 11-10-25)
HOPE Act Related Links:
Bipartisan Healthcare Optimization, Protection, and Extension (HOPE) Act
Suozzi, Bacon, Hurd, Gottheimer Introduce Bipartisan Bill to Avert Healthcare Affordability Crisis: The Bipartisan HOPE Act (Suozzi, 11-21-25)
Other Related Links:
What’s on the GOP menu for ObamaCare reform, subsidy extensions (The Hill, 11-27-25)
Democrats want to extend Obamacare credits. Republicans have other ideas. (Politico, 11-11-25)
Democrats fold on biggest government shutdown demand (Axios, 11-10-25)
4.8 Million People Will Lose Coverage in 2026 If Enhanced Premium Tax Credits Expire (Urban Institute, 10-29-25)
ACA Marketplace Premium Payments Would More than Double on Average Next Year if Enhanced Premium Tax Credits Expire (KFF, 9-30-25)
Five Key Changes to ACA Marketplaces Amid Uncertainty Over Premium Tax Credit Enhancements (Center on Budget and Policy Priorities, 9-22-25)
Bernie Sanders Says Trump's Cuts To Obamacare Must Be Axed Or Else Premiums Will Rise By 75%: 'No One Can Afford That' (Benzinga, 9-15-25)